Cost-effectiveness of a high-intensity versus a low-intensity smoking cessation intervention in a dental setting : long-term follow-up

Autor: Ásgeir R. Helgason, Inna Feldman, Pia Johansson, Åke Tegelberg, Eva Nohlert
Přispěvatelé: Viðskiptadeild (HR), School of Business (RU), Háskólinn í Reykjavík, Reykjavik University
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Counseling
Male
Cost effectiveness
medicine.medical_treatment
Cost-Benefit Analysis
lcsh:Medicine
Odontologi
0302 clinical medicine
Behavior Therapy
Psychology
030212 general & internal medicine
Dental Care
Meðferð
health care economics and organizations
cost-effectivenes
Practice Patterns
Dentists'
Public health
030503 health policy & services
Smoking cessation intervention
Long term sustainability
Public Health
Global Health
Social Medicine and Epidemiology
General Medicine
Middle Aged
Sálfræði
Lýðheilsa
Female
Reykingar
0305 other medical science
Svíþjóð
Adult
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi
medicine.medical_specialty
Ráðgjöf
Long term follow up
Attitude of Health Personnel
long-term sustainability
03 medical and health sciences
Young Adult
Heilbrigðisvísindi
Health Economics
medicine
Humans
Dental Health Services
Aged
Sweden
business.industry
Research
lcsh:R
Health Care Service and Management
Health Policy and Services and Health Economy
Intensity (physics)
smoking cessation
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Kostnaður
Dentistry
Physical therapy
Smoking cessation
business
Follow-Up Studies
Zdroj: BMJ Open
BMJ Open, Vol 9, Iss 8 (2019)
Popis: Publisher´s version (útgefin grein)
ObjectivesThe aim of this study was to conduct a cost-effectiveness analysis (CEA) of a high-intensity and a low-intensity smoking cessation treatment programme (HIT and LIT) using long-term follow-up effectiveness data and to validate the cost-effectiveness results based on short-term follow-up.Design and outcome measuresIntervention effectiveness was estimated in a randomised controlled trial as numbers of abstinent participants after 1 and 5–8 years of follow-up. The economic evaluation was performed from a societal perspective using a Markov model by estimating future disease-related costs (in Euro (€) 2018) and health effects (in quality-adjusted life-years (QALYs)). Programmes were explicitly compared in an incremental analysis, and the results were presented as an incremental cost-effectiveness ratio.settingThe study was conducted in dental clinics in Sweden.Participants294 smokers aged 19–71 years were included in the study.InterventionsBehaviour therapy, coaching and pharmacological advice (HIT) was compared with one counselling session introducing a conventional self-help programme (LIT).resultsThe more costly HIT led to higher number of 6-month continuous abstinent participants after 1 year and higher number of sustained abstinent participants after 5–8 years, which translates into larger societal costs avoided and health gains than LIT. The incremental cost/QALY of HIT compared with LIT amounted to €918 and €3786 using short-term and long-term effectiveness, respectively, which is considered very cost-effective in Sweden.ConclusionCEA favours the more costly HIT if decision makers are willing to spend at least €4000/QALY for tobacco cessation treatment.
County Council of Vastmanland, Sweden (LTV 3999) and Swedish Research Council for Health, Working Life and Welfare (FORTE), grant number 2014-1399.
"Peer Reviewed"
Databáze: OpenAIRE
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